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!he Evergreen CO"�STRU�TION <br /> cirv or- <br /> ever�tt PERMIT PERMIT N0. 07179 <br /> CITY HALL 25��8745 <br /> EVERETf,lNA sezoi ❑ COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNhR AIA�L 4DDHE55 GITY ZIP PNONE <br /> Clint Carnell 2229 Jacks,�n 98203 355-3200 <br /> AflCH!iECTORDL. �NLR MAILADORESS CITY Zlp PMONE <br /> � <br /> GENERALCONTRAQOfl MqILA�ORE55 CITY ZIP PI�ONE UGENSE� <br /> Same <br /> MECMANIC�IG)NiRACTOR MAILADORE55 dTY Z�P PNONE �ICENSE• <br /> VLUM1IBINGf.ONfRALTOF MAILAppRESS CITY IIP PHON[ UCENSE/ _i <br /> � <br /> CLA55 OF ti:JRK <br /> ❑Nf_W ❑ADDITION ❑ALTERATION ❑PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN �GARAGE <br /> VALUAiION OF R'pRK <br /> S <br /> DESCR'�BE YlOPK <br /> 2000 ycis fill <br /> PROFOSE�USE OF DUIL'11NG — <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF� <br /> LEGALDESCqIP7lONOPFPOPERIY�5H0Yl9ELOWORATTACNFOUPfA%E51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 7 12 Intercit Div. 1 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or__oiocr�,_aF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUU`,TING <br /> Z 13-28-5 CONST TION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDHE55 SIGN R V CiCROHAU�AGENt DAiE <br /> 111 South Broadway , /-- /. �. G <br /> ^d0 <br /> PLUMBING CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSEi�TOILET) AIR COND.UNI75—H.4.EA. <br /> BATHTUB REFRIGLRATION UNITS—N_p, EA <br /> LAVATORY�WASN BASIN) BOILERS—HP.[A <br /> SHOW[R GAS FIRED A.C.UNITS—TONNAGE EA. <br /> _ KITCH[ry SINK 8 DISP. FOPCED A1R SVSiLldS—B T U. M EA. <br /> DISHSYASHER WALL HEATERS—B.T.U. M <br /> LAUNDRV TqAY UNIT HEATERS—B.T.U. M <br /> CLOTHES\YASHER GVAPpRATIVE COOLEPS <br /> WATER HEATER CLOTHES�RYERS <br /> URINAL VENTILATION FAN <br /> DRINHING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIH HANDLING UNIT— C.EM. <br /> VACUU618REAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIpEPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR,ETC� <br /> SUB TOTAL SUB 70TAL S <br /> PERMIT S PERMIT S <br /> TO7ALFEE S TOTAL FEE S <br /> SIGE YARD SEiBAGY. SiREET SE�04CK REAR VARU SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> _ 8O�'Jl'J9 FEE ZZ 00 RECEIPT N0. <br /> USE ZONL LOT AREA VPCANT SITE 46865 <br /> �:]YES �]NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWF.LLING UNITS <br /> �UILDING 5 62 00 <br /> SIZL OF BIDG. N0.CF&TORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE �ASEM1IF VT FIRE SPRINKLERS <br /> �EOUIRED MECHANICAL <br /> rE5 ❑NO <br /> APPp0VAL5 BY DATE OiHER `__, <br /> 1. ENVIRONMENTAL CHECK LIST <br /> PENALTV U.B C. <br /> 2. BUILDING PLANS SEC.303�a� <br /> 3. FI9E FIVURANT TOTAL 62 00 <br /> 4. FIFlE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPGRLV VAIIDATED(IN TNIS SPACE)THIS IS YOUR PERA117 <br /> 5. GRADING <br /> � 6. ORAINAGE 8 8 ? I S O � 2. O O "� � <br /> 7. LNVIRONMENTALIMPACTSTATEMENT , � <br /> B. HEALTH DISTRICT �� <br /> � C�U R RECElPT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE�V � <br /> TI-;,ANK 1"OU <br /> ' ] F�e S O ' <br /> ADDRESS FILE <br />